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A pessary is a small plastic or silicone medical device which is inserted into the vagina or rectum and held in place by the pelvic floor musculature.

Contents

Types of pessaries

Therapeutic pessaries

A therapeutic pessary is a medical device similar to the outer ring of a diaphragm. Therapeutic pessaries are used to support the uterus, vagina, bladder, or rectum. A pessary is most commonly used to treat prolapse of the uterus. It is also used to treat stress urinary incontinence, a retroverted uterus, cystocele and rectocele. Historically, pessaries may have been used to perform abortions, as demonstrated in the original text of the Hippocratic Oath.

The pessary can be placed temporarily or permanently, and must be fitted by a physician. Most pessaries can be worn during intercourse.

Pessaries should only be used in conjunction with vaginal estrogen; without it, these can cause chronic discharge and bleeding secondary to injury of the vaginal tissues.(Dr. Suleiman, Y)

Occlusive pessaries

An occlusive pessary is generally used in combination with spermicide as a contraceptive.

Stem pessary

The stem pessary, a type of occlusive pessary, was an early form of the cervical cap. Shaped like a dome, it covered the cervix, and a central rod or "stem" entered the uterus through the os, to hold it in place.[1]

See also

References








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